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Vascularized Pedicled Fibula for Pediatric Tibia Reconstruction.
Suman Medda1, Matthew A King, Christopher M Runyan
1Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC.
Journal of Orthopaedic Trauma
|July 6, 2021
Summary
This video demonstrates vascularized fibula flap surgery for pediatric tibia reconstruction in a young boy with bone loss. The successful procedure restored the tibia, enabling the child to walk independently with bracing.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Microsurgery
Background:
- Pediatric long bone nonunions present complex reconstruction challenges.
- Segmental bone loss in the tibia often requires advanced reconstructive techniques.
- Infected nonunions necessitate thorough debridement and robust bone reconstruction.
Observation:
- A 4-year-old boy with a left tibial infected nonunion and segmental bone loss was evaluated.
- The patient experienced significant ambulation difficulties due to the tibial defect.
- Previous debridements had not resolved the nonunion.
Findings:
- An ipsilateral vascularized fibula flap was utilized for tibia reconstruction.
- The surgical technique involved transferring vascularized fibula tissue to bridge the bone defect.
- Postoperative follow-up confirmed successful union of the reconstructed tibia.
Implications:
- Vascularized fibula flaps are a viable option for complex pediatric tibia reconstruction.
- This technique can restore bone integrity and improve functional outcomes in children.
- Successful reconstruction facilitates independent ambulation and enhances quality of life.
